Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evan Short

Individual provider Physical Therapist · NPI 1518343003

Evan Short is a Physical Therapist in Private Practice in Mesa, Arizona. Qualified in 2015, 11 years ago. Practices with Mesa Physical Medicine PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2015
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Practice location Address checks out

4210 E Baseline Rd 106
Mesa, AZ 85206-4417
Phone: (480) 503-2373
Fax: (480) 782-5213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11733 (AZ)

Record details

NPI number1518343003
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 6, 2015
Last updated in NPPESAugust 6, 2015
Mailing address4210 E Baseline Rd, 106, Mesa, AZ 85206-4417

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mesa Physical Medicine Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mesa